Clinical Review Criteria
In this section choose the primary review criteria to be utilized in making the determination. If there are multiple criteria to be used, this should be indicated in the review questions when you create them on the questions page of the referral.
****Important Note**** Please include a copy of the criteria so the physician can reference it. Please make sure you have the specific section circled or highlighted for the physician to reference. This helps promote consistency and keep review times to a minimum, thus containing costs.
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